Individual
ELIAS KASSA MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11890 HEALING WAY, SILVER SPRING, MD 20904-7917
(240) 637-4000
Mailing address
13339 MOONLIGHT TRAIL DR, SILVER SPRING, MD 20906-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0064866
MD
207R00000X
Internal Medicine Physician
MD035593
DC
207RI0200X
Infectious Disease Physician
Primary
D0064866
MD
Other
Enumeration date
05/14/2007
Last updated
07/13/2023
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